न्यूरोरिहेबिलिटेशन के अंतर्राष्ट्रीय जर्नल

Coronavirus disease is being caused by SARS-CoV-2 infection in 2019 (COVID-19). Other than respiratory symptoms brought on by a bronchoalveolar system attack, COVID-19, among others, may also be accompanied by neurological symptoms brought on by a nerve system affliction. These can be brought on by direct cell-to-cell infection as well as SARS-CoV-2 infiltration of the central nervous system (CNS) and peripheral nervous system (PNS). Additionally, tissue damage in the CNS and PNS might result from neurological degeneration brought on by molecular mimicry to virus antigens or bystander activation in the context of immunological anti-virus response. In addition, symptoms connected to the nervous system may result from the cytokine storm brought on by COVID-19's SARS-CoV-2 infection. Vascular occlusion and stroke can result from endotheliitis of the CNS arteries. Additionally, COVID-19 may cause sinus thrombosis and cerebral haemorrhage due to modifications in clotting behaviour. The most effective method of preventing COVID-19 in the neurological system is vaccination. There are therapeutic strategies that can treat symptoms or perhaps reverse nervous system damage caused by COVID-19, some of which are still being researched.

Introduction: For patients undergoing rotator cuff repair, a well-planned rehabilitation routine is equally important to complete tendon healing and optimal shoulder functional outcome as the size/location of the rip, surgical technique, and fixation modalities (RCR). The order in which rehabilitation should proceed is still up for discussion.

Purpose: This meta-objective analysis's is to compare the outcomes of a post-operative aggressive treatment and a conventional rehabilitation protocol. Methods: We looked through the databases of PubMed, Ovid MEDLINE, CINAHL, the Cochrane Library, and CEPS. Six publications that matched our selection criteria were ultimately included.

Results: The intensive postoperative rehabilitation approach improves ROM and shoulder function more than the conventional protocol, but it also carries a higher risk of the rotator cuff tendon failing to repair or rupturing again.

Conclusion: Despite the fact that patients with RCR benefit from the rigorous postoperative rehabilitation routine, additional research on the variables impacting the risk of tendon un-healing/re-tearing is needed. These elements must be taken into account while designing a postoperative programme for RCR patients.